Active NPIIndividual provider

Dr. Jorge L Gonzalez, MD

Pathology, Anatomic Pathology in Lebanon, New Hampshire

NPI Number1407887060
Practice location
1 Medical Center Drive, Lebanon, NH 03753
Fax
603-650-7214
Last updated
July 8, 2007

Jorge Luis Gonzalez is a Pathology, Anatomic Pathology based in Lebanon, NH. Jorge Luis Gonzalez practices in Lebanon, NH and has the professional credentials of MD. The NPI Number for Jorge Luis Gonzalez is 1407887060 and holds a License No. 9079 (NH). The current practice location address for Jorge Luis Gonzalez is 1 Medical Center Drive, Lebanon, NH 03753 and can be reached out via phone at 603-650-7215 and via fax at 603-650-7214.

Provider Profile Details

NPI Number
1407887060
Provider Name
Jorge Luis Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Medical Center Drive, Lebanon, NH 03753
Phone Number
603-650-7215
Fax Number
603-650-7214
Primary Taxonomy
Pathology, Anatomic Pathology · 207ZP0101X
Sole Proprietor
No
Provider Enumeration Date
July 5, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Medical Center Drive
Lebanon, NH 03753
Zip
03753
Phone Number
603-650-7215
Fax Number
603-650-7214
Lebanon, NH 03753Get directions →

Provider Business Mailing Address Details

Address
Po Box 659
Lebanon, NH 03766
City
Lebanon
State
NH
Zip
03766
Phone Number
603-650-7215

License Information

License Number
9079
License State
NH
Taxonomy
Pathology, Anatomic Pathology · 207ZP0101X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jorge L Gonzalez, MD?

The NPI number of Dr. Jorge L Gonzalez, MD is 1407887060. It was assigned on July 5, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Jorge L Gonzalez, MD?

Dr. Jorge L Gonzalez, MD is registered under the primary taxonomy Pathology, Anatomic Pathology (code 207ZP0101X), licensed in NH under license number 9079.

Where does Dr. Jorge L Gonzalez, MD practice?

The practice location is 1 Medical Center Drive, Lebanon, NH 03753. The office can be reached at 603-650-7215 (phone) or 603-650-7214 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407887060 directly on the NPPES registry website.

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